Ambulance Advisory Committee

Nashua, NH Nashua, NH 380 West Hollis Street, Nashua, NH 03060 Business Phone: (603) 882-5330; Business Fax: (603) 598-9403 City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report For the Period between: December 01, 2011 through December 31, 2011 1  Nashua, NH January 12, 2012 This report contains the data and information required by the City of Nashua, New Hampshire in the agreement between Nashua and American Medical Response (hereafter AMR) that was made on September 30th, 2011. The contents of this report reference the requests for Emergency Medical Services (here after EMS) provided to the community by the three primary response ambulances required by the agreement. This report utilized data from the city’s CAD program as well as AMR’s data base of EMS reports generated by the contractually dedicated ambulances operating under the dispatch control of Nashua Fire Rescue. Section II.M.2.a: Number of EMS response made: 710 Section II.M.2.b: Number of Patients transported: 564 Section II.M.2.c: Number of Patients receiving Advance Life Support (ALS): 303 Section II.M.2.d: Nature of Patient’s problems (transported): UNCONCIOUS/SYNCOPE/UNRESP ALS 54 FALL/ACCIDENT ALS CRITERIA MET 52 MOTOR VEHICLE ACCIDENT ALS 28 SEIZURES ALS CRITERIA MET 27 OVERDOSE ALS CRITERIA MET 20 BLEEDING (NON-TRAUMATIC) ALS 19 EMOTIONALLY DISTRESSED ALS 19 CVA (STROKE) ALS CRITERIA 13 SICK/UNKNOWN BLS CRITERIA MET 12 TRAUMA W/INJURY ALS CRITERIA 12 ABDOMINAL PAIN ALS CRITERIA 9 CARDIAC / RESPIRATORY ARREST 9 FALL/ACCIDENT BLS CRITERIA MET 9 DIABETIC ALS CRITERIA MET 6 HEADACHE ALS CRITERIA MET 6 MOTOR VEHICLE ACCIDENT BLS 5 BACK PAIN ALS CRITERIA MET 4 EMOTIONALLY DISTRESSED BLS EME 4 MEDFLIGHT HELIPAD TRANSPORT 4 ALLERGIC REACTION ALS CRITERIA 3 BURNS ALS CRITERIA MET 2 TRAUMA W/INJURY BLS CRITERIA 2 ABDOMINAL PAIN BLS CRITERIA 1 2  Nashua, NH ALS EMERGENCY 1 BLEEDING (NON-TRAUMATIC) BLS 1 CHOKING PATIENT ALS CRITERIA 1 HAZMAT ALS CRITERIA 1 PREGNANCY/CHILDBIRTH ALS 1 Section II.M.2.e: Number of patient refusals or false alarms: Number of Patient Refusals or false alarms: 148 Section II.M.2.f: Average non-ALPHA response time, time on scene and transport time: Average Response Time: 04:37 Average Time On Scene: 17:41 Average Transport Time: 07:36 Section II.M.2.g: An explanation of all non-ALPHA emergency responses that exceed the NFPA 1710 standard: MINIMUM REQUIRED NFPA1710 RESPONSE STANDARD: 90% ACTUAL NFPA17O RESPONSE STANDARD ACHIEVED: 91% Section II.M.2.h: Date, time, duration and reason of stand-bys: There were no stand by’s for the reporting period. Section II.M.2.i: Date, time, duration and receiving community of mutual aid requests for service out of Nashua: 12/6/2011 11-27668 58 MINUTES TO MERRIMACK 12/11/2011 11-28024 98 MINUTES TO MERRIMACK 12/27/2011 11-29064 11 MINUTES TO TYNGSBORO TOTAL GIVEN 3 167 MINUTES 3  Nashua, NH Section II.M.2.j: Date, time, duration and sending community of mutual aid requests for service into Nashua: 12/6/2011 11-27678 48 MINUTES HUDSON 12/1/2011 11-27368 28 MINUTES HUDSON 12/15/2011 11-28411 50 MINUTES HUDSON 12/16/2011 11-28421 40 MINUTES HUDSON 12/23/2011 11-28894 36 MINUTES MERRIMACK 12/27/2011 11-29056 51 MINUTES HUDSON TOTAL RECEIVED 6 253 MINUTES Section II.M.2k: Payer class spread (Less than 10 listed under “other”): NATIONAL HERITAGE INS CO 233 UNKNOWN AT TIME OF CALL 171 NEW HAMPSHIRE MEDICAID 59 ANTHEM BC/BS 37 HARVARD PILGRIM HEALTH CARE 14 OTHER 63 Section II.M.2.l: Number of Mechanical Failures: There were no mechanical failures for the reporting period. Section II.M.2.m: Personnel changes, levels of certification upgrades: Spreadsheet provided separately to Kerran Vigroux. 4  Nashua, NH Section II.M.2.n: Vehicle maintenance log activity: There was no maintenance activity for the reporting period. Section II.M.2.o: Discuss complaints or other relevant issues: There were several issues brought to the attention of AMR and City officials related to customers needing additional assistance related to the billing process. All issues brought to the attention of AMR have been resolved to the satisfaction of the customer. For December, additional AMR ambulances were provided to the city beyond what is required 15 times during the month. Ongoing and/or relevant action items also included:  EMT-Refreshers for Nashua Fire Rescue scheduled and still in progress. They will be completed in January. The feedback from NFR was been very positive.  AMR is continuing to work with both hospitals to re-work the unplanned cessation of equipment and medication re-stocking by both City hospitals.  AMR is continuing to work with our medical control physician and medical resource hospital to monitor and address any national medication shortage issues that may arise including developing plans for alternative medications for certain protocols should that become necessary. There remains a national shortage of several commonly supplied medications that many EMS units carry.  Delivery of MCI trailer complete. Currently being set-up and stocked. Scheduled deployment is now prior to March 31, 2011.  Continuing to work with NFR and the City IS department to develop a plan to install a computer terminal and software at Nashua Fire Rescue dispatch to allow them to track the AMR Nashua 9-1-1 vehicles in real time for enhanced dispatching capabilities.  On-going discussion with Nashua Fire Rescue dispatch about enhancing pre-alert procedures to increase crew notification time of an incoming call. Awaiting approval from the command staff of NFR. 5  Nashua, NH  Patient satisfaction survey program began on October 1, 2011. Results will be able to be compiled and reported after a two month cycle has passed. Results should be available at the next ACC meeting.  Application process for AMR Nashua CAAS accreditation began on October 10, 2011. Projected timeline for completion of data gathering and application submission is April 1, 2012. Projected timeline for required on-site verification inspection is before June 30, 2012.  AMR continues to provide community ALS ambulance coverage at community events in Nashua. We are also working on an AED donation program for local community service providers.  Numerous visits were made to local community locations to introduce AMR and interact with the community. 6